<!--乘客添加-->
<div class="layui-row">
	<div>
		<form class="layui-form form-auto" >
			<div class="layui-form-item">
				<div class="layui-inline">
					<label class="layui-form-label">姓名</label>
					<div class="layui-input-inline">
						<input type="tel" name="name" lay-verify="required" autocomplete="off" class="layui-input">
					</div>
				</div>
				<div class="layui-inline">
					<label class="layui-form-label">性别</label>
					<div class="layui-input-block">
						<input type="radio" name="sex" value="1" lay-filter='sex' title="男">
						<input type="radio" name="sex" value="2" lay-filter='sex' title="女">
					</div>
				</div>

			</div>

			<div class="layui-form-item">
				
				<div class="layui-inline">
					<label class="layui-form-label">年龄</label>
					<div class="layui-input-inline">
						<input type="number" name="age" autocomplete="off" lay-verify="age" class="layui-input age">
					</div>
				</div>
				
				{if $Think.get.passenger_id}
				<input type="hidden" name="user_id"  placeholder="点击选择" class="layui-input user_id" />
				{else/}
				<div class="layui-inline">
					<label class="layui-form-label">绑定账号</label>
					<div class="layui-input-inline">
						<input type="text" name="username" lay-verify="required" readonly="1" placeholder="点击选择" class="layui-input username" />
					</div>
				</div>
				{/if}
			</div>
			<div class="layui-form-item">
				<div class="layui-inline">
					<label class="layui-form-label">所属公司</label>
					<div class="layui-input-inline">
						<input type="hidden" name="company_id" class="company_id"/>
						<input type="text" name="company_name" readonly="1" class="layui-input company_name"/>
					</div>
				</div>
				<!--<div class="layui-inline">
					<label class="layui-form-label">部门</label>
					<div class="layui-input-inline">
						<select class="department_id" name="department_id" lay-search lay-filter="department_id">
							<option disabled="1" value="0">暂无部门</option>
						</select>
						
					</div>
				</div>-->

			</div>
			<div class="layui-form-item">
				<div class="layui-inline">
					<label class="layui-form-label">职业</label>
					<div class="layui-input-inline">
						<input type="text" name="occupation" lay-verify="" autocomplete="off" class="layui-input">
					</div>
				</div>
				
				<div class="layui-inline">
					<label class="layui-form-label">来源</label>
					<div class="layui-input-inline">
						<select class="source" name="source" lay-search lay-filter="source">
							<option value="1">公务员</option>
							<option value="2">企业员工</option>
							<option value="3">社会人士</option>
						</select>
					</div>
				</div>
				
			</div>
			<div class="layui-form-item">
				<div class="layui-inline">
					<label class="layui-form-label">身份证号</label>
					<div class="layui-input-inline">
						<input type="text" name="id_number" lay-verify="identity" autocomplete="off" class="layui-input">
					</div>
				</div>
				<div class="layui-inline">
					<label class="layui-form-label">审核员</label>
					<div class="layui-input-block">
						<input type="radio" name="is_check" value="1" title="是" >
						<input type="radio" name="is_check" value="9" title="否">
					</div>
				</div>

			</div>
			<div class="layui-form-item">
				<div class="layui-inline">
					<label class="layui-form-label">出生年月</label>
					<div class="layui-input-inline">
						<input type="text" name="birthday" id="birthday" lay-verify="date" autocomplete="off" class="layui-input">
					</div>
				</div>
				<div class="layui-inline">
					<label class="layui-form-label">代打车</label>
					<div class="layui-input-block">
						<input type="radio" name="is_instead" value="1" title="是" >
						<input type="radio" name="is_instead" value="9" title="否">
					</div>
				</div>

			</div>

			<div class="layui-form-item">
				<div class="layui-inline">
					<label class="layui-form-label">手机号</label>
					<div class="layui-input-inline">
						<input type="text" name="phone" lay-verify="required|phone" autocomplete="off" class="layui-input phone">
					</div>
				</div>
				<div class="layui-inline">
					<label class="layui-form-label">vip</label>
					<div class="layui-input-block">
						<input type="radio" name="is_vip" value="1" title="是" >
						<input type="radio" name="is_vip" value="9" title="否">
					</div>
				</div>

			</div>
			
			<div class="layui-form-item">
				<label class="layui-form-label">所在地址</label>
				<div class="layui-input-inline">
					<select class="province" name="province" lay-search lay-filter="province">

					</select>
				</div>
				<div class="layui-input-inline">
					<select class="city" name="city" lay-search lay-filter="city">

					</select>
				</div>
				<div class="layui-input-inline">
					<select class="county" name="county" lay-search lay-filter="county">

					</select>
				</div>

			</div>

			<div class="layui-form-item">
				<label class="layui-form-label">司机照片</label>
				<input name="head_portrait" type="hidden" />
				<div class="layui-input-block">
					<div class="layui-col-xs6">

						<div class="layui-col-xs3">
							<div class="layui-upload">
								<button type="button" class="layui-btn" id="test1">上传头像图片</button>
								<div class="layui-upload-list">
									<img class="layui-upload-img head_portrait" data-name='head_portrait' id="img1">
									<p id="demoText"></p>
								</div>
							</div>
						</div>
						
					</div>

				</div>
			</div>
			<div class="layui-form-item">
				<div class="layui-input-block">
					<button type="button" class="layui-btn layui-btn-normal keep" lay-submit="" lay-filter="ss1">立即提交</button>
				</div>
			</div>
		</form>
	</div>
</div>